What is the DSM
DSM III
introduced a number of important methodological innovations including diagnostic criteria, mutliaxial system, and descriptive approach to mental status. Based on medical model.
Code & Documentation for Deferred Diagnosis
799.9 Diagnosis Deferred on either Axis I or Axis II.
DSM
Criteria-based, hierarchical diagnostic system that is the standard classification of mental disorders used by mental health professionals in the United States. It is intended to be applicable in a wide array of contexts and used by clinicians and researchers of many different orientations
Not Otherwise Specified
Serves as a "catch-all" when symptoms do not meet the criteria for a specific disorder.
7
How many categories of Mental Illness were identified in 1880?
Severity and Course Specifiers
A generic set of descriptors that identify the severity in a diagnostic category and ar meant o be applied to ALL of the diagnoses in the DSM system. Include: Mild Moderate Severe In partial remission In full remission Prior History
DSM IV
Added cultural information, diagnostic tests, and lab findings
Psychiatric Diagnosis
Defines clinical entities so that clinicians have the same understanding of what a diagnostic category means and determine treatment
Five points of the multiaxial system
I. Clinical Disorders and other Clinically Significant Conditions II. Personality Disorders and Mental Retardation III. General Medical Condition IV. Psychosocial and Environmental Problems V. Global Assessment of Functioning.
Provisional Diagnosis
Presumption that full criteria will be met for a disorder but not enough to make a full diagnosis
Principal diagnosis
Reason for the visit. Basically, what you are focusing on but the DSM makes the distinction between outpatient and inpatient.
Schizophrenia and other psychotic disorders
The presence of one or more of the following symptoms: a significant distortion in the perception of reality; an impairment in the capacity to reason, speak, and behave rationally or spontaneously; and an impairment in the capacity to respond spontaneously; and an impairment in the capacity to respond spontaneously with appropriate affect and motivation. These distortions occur in the absence of an impairment of consciousness or memory
DSM I
The term "reaction" was significant was mental disorders represented reactions of the personality to psychological, social, and biological factors.
Code & Documentation for No Diagnosis
V71.09 No Diagnosis on Axis I or II.
1917
What year did the APA formulate a plan for gathering uniform statistics across mental hospitals?
2000
What year was the DMS IV-TR published?
1952
What year was the DSM 1 was published?
2014
What year was the DSM 5 published?
1968
What year was the DSM II was published
1980
What year was the DSM III published
1987
What year was the DSM III-R published?
1994
What year was the DSM IV published?
DSM IV-TR
added further information from research studies to current diagnostic categories. Had a total of 16 diagnostic classes.
Mood Disorders
development of abnormal mood characterized by depression, mania, or both symptoms in alternating fashion. The abnormal mood may or may not impair the patient's social or occupational functioning
Depression
distinguished by an unusually sad, gloomy, and dejected mood or a markedly diminished interest or pleasure in everyday activities
DSM II
eliminated the term "reaction"
Purpose of the DSM
provide clear descriptions of diagnostic categories in order to enable clinicians and investigators to diagnose, communicate about, study, and treat people with various mental disorders
DSM III-R
published to correct inconsistencies within and further clarify diagnostic criteria
DSM 5
removed multiaxial system, hoped to better reflect growing scientific understanding of mental health and move toward spectrum conceptualization of diagnoses versus categorical.
Mania
unusually and persistently elevated, expansive, or irritable mood distinctly different from other non-symptom state